A man in his 30s was rushed to a San Antonio hospital Wednesday morning after a pickup truck struck him at the intersection of South Acme Road and Historic Old Highway 90 on the city's West Side. San Antonio police said the man was unconscious and breathing when paramedics loaded him into an ambulance, and traffic was being redirected away from the intersection as officers worked the scene.
According to KSAT, San Antonio police said the man attempted to cross the street when it was not his turn. An officer at the scene said the man was not paying attention while attempting to cross, per the station's report. The driver of the pickup truck remained at the scene and assisted the man after the collision, police said. KSAT described the story as developing as of Wednesday morning.
What the Law Says About Fault
Texas law complicates any easy assignment of blame in a crash like this one. Under Texas Transportation Code § 552.005, a pedestrian who crosses a roadway outside a marked or unmarked crosswalk must yield the right-of-way to vehicles, according to FindLaw. But that same code, under § 552.008, still requires drivers to exercise due care to avoid hitting a pedestrian on a roadway regardless of who technically had the right-of-way.
Separately, Texas Transportation Code § 550.021 requires any driver involved in a collision that causes injury or death to stop, remain at the scene, and render reasonable aid, including arranging medical transportation, per FindLaw. The pickup truck driver's decision to stay and help the injured man aligns with that statutory duty and would help him avoid failure-to-stop liability.
A Corridor With a Troubled History
Historic Old Highway 90 has a documented history of severe pedestrian collisions on San Antonio's West Side. In November 2025, a hit-and-run crash near Suzette Avenue killed 31-year-old pedestrian Andrew Ortiz Reyna as he crossed outside a crosswalk, according to KENS 5. That same month, San Antonio police investigated another fatal pedestrian collision along U.S. Highway 90 on the West Side, a case Hoodline covered at the time.
Wednesday's crash also lands near a stretch of the West Side where residents have raised broader safety concerns. In February, community members organized public calls demanding city action on 15 vacant or abandoned commercial properties between SW 19th Street and South Acme Road, citing public safety and foot-traffic concerns, according to KSAT.
San Antonio's Pedestrian Safety Crisis
The crash adds to a grim tally for San Antonio, which recorded 769 pedestrian-involved traffic crashes in 2024, resulting in 83 fatalities and 168 serious injuries, according to Texas Department of Transportation records cited by the City of San Antonio. Pedestrian-involved crashes across the metro area have exceeded 1,000 incidents annually every year from 2016 through 2025, with Bexar County accounting for more than 90% of those crashes, per the San Antonio Express-News.
Statewide, pedestrian collisions increased 25% between 2020 and 2024, and pedestrians now account for roughly one out of every five traffic fatalities in Texas, according to TxDOT figures reported by KENS 5. In response, the city launched a $4.4 million federally funded Keep Crossings SAfe campaign in November 2025, using life-sized silhouettes of residents to discourage distracted driving, speeding, and improper mid-block crossing along high-risk corridors, per the San Antonio Report. The city's Transportation Department also launched an interactive High-Injury Network Dashboard in December 2025 to publicly map the streets where severe and fatal crashes disproportionately occur.
Wednesday's collision follows a string of recent West Side pedestrian crashes that Hoodline has tracked in a Marbach Road crash and a Far West Side fatality near U.S. 90. It remains unclear whether traffic signals or crosswalks at South Acme Road and Old Highway 90 were functioning properly at the time of the crash, and San Antonio police have not said whether the driver will face any criminal or civil liability once the investigation concludes. The man's condition has not been updated since he was taken to the hospital.
